Individual provider · Type 1 NPI

Carlotta Diane-Edwina Mitchell, M.A., LPC

Mental Health Counselor · Detroit, MI

NPI number 1497995724 Active

Practice location

79 W Alexandrine St
Detroit, MI 48201-2015

Fax (313) 831-2608

Mailing address

29015 Powers St
Westland, MI 48186-5141

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X6401013010 (MI)

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About NPI 1497995724

Carlotta Diane-Edwina Mitchell, M.A., LPC's National Provider Identifier is 1497995724, issued on Feb 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Apr 20, 2015.